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Urinary continence following radical retropubic prostatectomy
J Ramon1, P Leandri, G Rossignol
1Department of Urology, Saint-Jean Languedoc, Toulouse, France.
British Journal of Urology
|January 1, 1993
Summary
Radical retropubic prostatectomy for prostate cancer leads to high rates of urinary continence. Age is the primary factor influencing continence recovery after this prostate surgery.
Area of Science:
- Urology
- Oncology
Background:
- Radical retropubic prostatectomy is a common treatment for prostate cancer.
- Urinary incontinence is a significant concern following prostatectomy.
Purpose of the Study:
- To evaluate the long-term urinary continence outcomes after radical retropubic prostatectomy.
- To identify factors influencing the return of urinary control.
Main Methods:
- A retrospective analysis of 484 men undergoing radical retropubic prostatectomy between 1983 and 1989.
- Assessment of urinary control at 6 months and over 1 year post-surgery.
- Analysis of patient age, prior prostate surgery, pathological stage, and neurovascular bundle preservation.
Main Results:
- 90% achieved complete urinary control at 6 months; 95% at over 1 year.
- Age was the only factor negatively impacting continence recovery.
- No significant influence of prior prostate surgery, pathological stage, or neurovascular bundle preservation on continence.
Conclusions:
- Radical retropubic prostatectomy offers excellent long-term urinary continence rates.
- Patient age is a key determinant of continence recovery.
- Technical surgical considerations, such as preserving the urethral sphincter, are important.